Addressing Diastolic Dysfunction in the Congenital Heart Population.

IF 3.3 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Ryan M Edwards, Allison P Levin, Richard A Krasuski
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引用次数: 0

Abstract

Purpose of review: This review summarizes recent advances in the evaluation of diastolic dysfunction and management considerations in the unique congenital heart disease population.

Recent findings: Diastolic dysfunction is prevalent in a number of congenital lesions. Non-invasive assessment methods have varying applicability depending on the specific lesion. Lesions with a systemic left ventricle can likely be accurately assessed with traditional echocardiographic techniques while higher complexity lesions may be better suited to emerging techniques including 4D-flow cardiac MRI and analysis of late gadolinium enhancement. Diagnosis and management are tailored to the individual patient and include surveillance, medication, lifestyle modification and occasionally device therapy. Diastolic dysfunction is increasingly recognized across the spectrum of the expanding, aging congenital heart population. Ongoing study of the unique mechanisms in individual lesions is needed to determine how best to assess for and intervene upon this pathology.

先天性心脏病患者的舒张功能障碍。
综述目的:本文综述了在独特的先天性心脏病人群中舒张功能不全的评估和治疗方面的最新进展。最近发现:舒张功能障碍是普遍存在于一些先天性病变。非侵入性评估方法的适用性因具体病变而异。传统超声心动图技术可以准确评估系统性左心室病变,而更复杂的病变可能更适合于新兴技术,包括4d血流心脏MRI和晚期钆增强分析。诊断和管理是针对个别患者量身定制的,包括监测、药物治疗、生活方式改变和偶尔的器械治疗。舒张功能障碍是越来越多的认识到整个频谱扩大,老龄化的先天性心脏人口。需要对个别病变的独特机制进行持续研究,以确定如何最好地评估和干预这种病理。
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来源期刊
Current Cardiology Reports
Current Cardiology Reports CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
6.20
自引率
2.70%
发文量
209
期刊介绍: The aim of this journal is to provide timely perspectives from experts on current advances in cardiovascular medicine. We also seek to provide reviews that highlight the most important recently published papers selected from the wealth of available cardiovascular literature. We accomplish this aim by appointing key authorities in major subject areas across the discipline. Section editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.
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